Hospira Plum A Plus 43095226001 Rev05 01 Muen

System
Operating
Manuaf
For use with List 11971-04
Abbott Laboratories
;g;h Chicago, IL 60064
430-95226-001 (Rev. 5/01)

Contents
‘.
SECTION 1
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.1 P RODUCT O VERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...*............................................................... l-l
1.2 C ONVENTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . l-2
Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l-2
1.3 D EFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... l-3
SECTION 2
DEVICE DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 2-l
2.1 EATLJRES ................................................................................................................................... 2-l
Therapies ............................................................................................................................... 2-l
Line Programming Options .................................................................................................. 2-l
PlumSet Capabilities .............................................................................................................. 2-l
Air Management ................................................................................................................... 2-l
Battery ................................................................................................................................... 2-2
Biomedical ............................................................................................................................ 2-2
Options .................................................................................................................................. 2-2
Other Features ....................................................................................................................... 2-2
2.2 U SER Q UALIFICATION ................................................................................................................ 2-3
2.3 SYSTEM SELF-TE STS .................................................................................................................. 2-3
SECTION 3
INSTRUCTIONS FOR USE ........................................................................................................................ 3- 1
3.1 SETUP ......................................................................................................................................... 3-1
Unpacking ............................................................................................................................. 3-l
Tandem Carrier Instructions ................................................................................................. 3-2
3.2 A DMINISTRATION S ETS .............................................................................................................. 3-2
Preparing the Administration Set .......................................................................................... 3-3
Priming the Administration Set ............................................................................................ 3-4
Loading the Cassette ............................................................................................................. 3-5
Preparing the Secondary Line ............................................................................................... 3-6
3.3 D ISCONTINUING E LECTRONIC F LOW C ONTROL & SE?TING G RAVITY F LOW ........................... .3-8
3.4 D ISCONTINUING F LUID ADMINISTRATION ................................................................................. 3-8
...
111 430-95226-001 (Rev. 901)
Contents
SECTION 4
BASIC OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-l
4.1 GETTING STARTED ...................................................................................................................... 4-l
System Self-Tests ................................................................................................................... 4-l
Data Retention ................................................................................ ..‘~ .................................. 4-3
4.2 OPERATING KEYS ........................... ............................................................................................ 4-3
4.3 INDICATORS ................................................................................................................................ 4-5
4.4 REAR CASECONTROLS .............................................................................................................. 4-5
4.5 POWER ON .................................................................................................................................. 4-7
4.6 SIMPLE DELIVERY ....................................................................................................................... 4-8
4.7 EXAMPLES OF AUTOMATIC CALCULATION ................................................................................ 4-9
4.8 RTFL4TION ................................................................................................................................ 4-10
4.9 SIMPLE DELIVERY USING D RUG L IST ..................................................................................... .4-12
4.10 SIMPLE D ELIVERY USING D ELAYED START ............................................................................ 4-14
4.11 PIGGYBACK D ELIVERY ........................................................................................................... 4-15
4.12 P IGGYBACK WITH NURSE C ALLBACK .................................................................................... 4-17
4.13 CONCURRENT DELIVERY ....................................................................................................... .4-18
4.14 S ELECT O PTION - VOLUMES INFUSED , PRESSURE / POST INFUSION R ATE , AND L IGHTING /C• ....... .4-20
4.15 S TOP AND S TART WITH ONLY 1 L INE P UMPING ..................................................................... 4-23
4.16 S TOP AND S TART WITH B OTH L INES P UMPING ...................................................................... 4-23
4.17 BACKPRIMING ......................................................................................................................... 4-25
4.18 C LEARING P ROGRAM SETI-INGS ............................................................................................. 4-25
4.19 POSSIBLE NON -DELIVERY PROGRAMMED ............................................................................. 4-26
SECTION 5
THERAPIES (FOR ADVANCED USERS*) ............................................................................................... 5-l
5.1 D OSE C ALC (MCG/KC~MIN ON A) ................................................................................................ 5-l
5.2 D OSE C ALC (MG/HR OS B) ........................... .............................................................................. 5-5
5.3 L OADING D OSE .......................................................................................................................... 5-9
5.4 MULTISTEP PROG~WX~MING .................................................................................................... 5-15
SECTION 6
ALARMS AND TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. -l
6.1 W ARNING ME.SSAGE~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. -l
6.2 R ESPONSE TO ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
General Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2 .
Line A Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Line B Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4
Malfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
430-95226-001 (Rev. YOl) iv Plum A+ Infusion Pump

Contents
SECTION 7
MAINTENANCE AND STORAGE ............................................................................................................ 7-l
7.1 C LEANING , M AINTENANCE , AND STORAGE ................................................................................ 7-l
Cleaning and Sanitizing ......................................................................................................... 7-l
Battery Maintenance .............................................................................................................. 7-2
Storage .................................................................................................................................. 7-2
Service .................................................................................................................................. 7-2
SECTION 8
PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................... 8-l
8.1 ARTIFACTS ................................................................................................................................. 8-1
8.2 HEALTHCARE PROFESSIONALS AND P ATIENT R ELATED ............................................................ 8-1
8.3 C ONCURRENT F LOW ................................................................................................................... 8-2
8.4 E PIDURAL A DMINISTRATION ...................................................................................................... 8-3
8.5 BATTERY O PERATION ................................................................................................................ 8-4
8.6 S ETS A N D ACCESSORIES ............................................................................................................. 8-4
8.7 BACKPRIMING ............................................................................................................................. 8-5
8.8 G ENERAL .................................................................................................................................... 8-5
SECTION 9
SPECIFICATIONS ....................................................................................................................................... 9-l
PHYSICAL .......................................................................................................................................... 9-l
ELECTRICAL ...................................................................................................................................... 9-l
VTBI RANGE ..................................................................................................................................... 9-l
ENVIRONMENT ................................................................................................................................... 9-2
D ELIVERY RATE R ANGE ................................................................................................................... 9-2
AIR-IN-L INE ALARM ......................................................................................................................... 9-2
OCCLUSION ALARM AND LIMITS ...................................................................................................... 9-3
T IME TO D ETECT DOWNSTREAM O CCLUSIONS ................................................................................. 9-3
BOLUS V OLUME R ELEASED AFTER D OWNSTREAM O CCLUSIONS ARE C ORRECTED ......................... 9-3
D ELIVERY ACCURACY ....................................................................................................................... 9-4
~~LJM~ET CURVES ............................................................................................................................. 9-4
SECTION 10
SUPPLIES AND ACCESSORIES ............................................................................................................. 10-l
10.1 ADMINISTRATION F~um ........................................................................................................ 10-l
Administration Fluids ......................................................................................................... 10-l
Enteral and High Viscosity Fluids ...................................................................................... 10-l
Containers ............................................................................................................................ 10-l
10.2 ACCESSORIES ........................................................................................................................... 10-l
System Operating Manual 430-95226-001 (Rev, 5/01)

SECTION 1 Introduction
8.
1 .l Product Overview
The Plum A+TM Volumetric Infusion System is designed to meet the fluid delivery requirements of today’s
evolving healthcare environments. The Plum A+ is a cassette based, two lines in and one line out, multi-
function infusion pump. The pump can be used for standard, piggyback. 05 concurrent delivery. Therapy
modes include:
. Standard Infusions
l Multistep Programming
l Loading Dose
l Dose Calculation
The Plum A+ is designed to deliver parenteral and enteral or epidural infusions over a broad range of
infusion rates from multiple fluid container types.
The system includes a pumping module (hereafter called the pump) and an assortment of disposable IV sets
(hereafter called a set), optional accessories, and this operator’s manual.
The optional Barcode Reader allows drug name identification by scanning a provided list of drug names
located on the Flash Tips & Barcode Directory.
A computer data port is also provided to interface with a host computer.
The Plum A+ is designed to be used in most areas of patient care, including, but not limited to:
General Floor Laborj3etiverylPost Pattum Burn Unit

MedicallSurgical ORfinesthesia Hkmodialysis
ICU/CCU Post OpDecovery Oncology
Pediatrics Cardiac Cath Lab Mobile Intensive Cure
Neonatolgy Emergency Nutritional
l- 1 430-95226-001 (Rev. 5/01)

Introduction
1.2 Conventions
This section describes the conventions used throughout this manual, as follows:
Convention Application Example ‘.
Italic Reference to a section, figure, or table (See Figure 3- 1, Priming Cassette)

Function or mode specific instructions Primary On/y: Attach an empty
container.
[ALL CAPS] Keys or touchswitches on the device [START]
are described all caps in brackets
A [Italic] Softkey Options A [Choose]
Initial Caps lowercase Screen displays and device labels (as Therapy
appropriate)
Dose Calculation
I I
Bold Emphasis . ..sets are supplied Sterile and are for....
WARNINGS. CAUTIONS, AND NOTES
Alert messages used throughout this manual are described below. Pay particular attention to these
messages.
WARNING
A WARNING MESSAGE CONTAINS SPECIAL SAFETY EMPHASIS AND MUST BE OBSERVED AT ALL
TIMES. FAILURE TO OBSERVE A WARNING MESSAGE IS POTENTIALLY LIFE THREATENING.
CAUTION: A CAUTION USUALLY APPEARS IN FRONT OF A PROCEDURE OR STATEMENT. IT CONTAINS
INF-ORMATION TRAT COULD PRBVENT IRREVERSIBLE PRODUCT DAMAGE OR RARDWARE FAILURE. FAXLXJRE
TO OBSERVE A CAUTION COULD RESULT M SERIOUS PATIENT OR USER INJURY.
Note: A Note highlights information that helps explain a concept or procedure.
a 1.
This symbol directs the user to consult accompanying documents.
Note: Figures are rendered as graphic representations to approximate the actual product. Therefore,
figures may not exactly reflect the product.
430-95226-001 (Rev. 5/01) l- 2 Plum A+ Infusion Pump

Definitions (General and Clinical)
1.3 Definitions (General and Clinical)
Alarms Any condition of the pump that requires operator.attentfon. These condf-
tions will cause both audible and visible alarm indicators. Confirmation of
the condition is usuallu reauired.
Backprime Removal of air orfluid from the proximal line and cassette air trap. Nofluid
is delivered distal to the cassette during backpriming.
Bolus A single uninterrupted discrete volume of jlufd delivered in a discrete
period of time.
Cassette A recognized cassette type installed with the door closed.
Installed
Concurrent Simultaneous delivery of twofluids at fndependentjlow rates.
Delivery
Delfvery Delivery option which allows lines A and B to deliver concurrently.
Together
Delivery Rate The Delivery rate set by the operator.
Duration The time period used to deliver a VTBI at a delivery rate set by the operator.
Error A condition resulting when an operator attempts a nonacceptable input,
such as an invalid key press.
Flow Rate The resulting rate of fluidflow.
KVO (Keep Vein Delivery of fluid at a slow rate in or&r to prevent occluding the patient
Open) catheter.
Line A Cassette Inlet line on the top center of the cassette when looking at the cas-
sette from the front of the Device.
Line B Cassette Inlet line on the top right of the cassette when looking at the cas-
sette from the front of the Device.
Malfunction Failure of the device to pass internal integrity or performance tests.
Pfgg ybac k The mode where line B delivers first, followed by line A.
PressurelPost Selected using A [OptfonslVol Inflt this mode is used to set KVO Rate and Dfs-
Infusion Rate tal Pressure Limit. It is also used to view Distal Pressure in real-time.
Units A predetermined delivery quantity adopted as a standard of measure.
VTBI Volume To Be Infused - The amount offlufd remaining to be delivered to the
vatfent.
Warning An indication to advise the operator:
a) Of a possibly hazardous condition such as a Low-Battery warning.
b) That an attempt has been made to use a function in the wrong sequence,
with the wrong values, or at the wrong time such as an Invalid Key Warn-
ing.
c) That a function has been initiated in the proper manner such as a Valid
Keu Warnfnq.
System Operating Manual l- 3 430-95226-001 (Rev. 5101)

SECTION 2
2.1 Features
The Plum A+ is a dual-line volumetric infusion system designed to meet the growing demand for hospital-
wide, as well as alternate site and home healthcare. standardization. With its primary line, secondary line,
and piggyback fluid delivery capability, the Plum A+ is suited for a wide range of medical/surgical and
critical care applications. Full compatibility with LifeCare Plum Series administration sets and accessories
and the LifeShield@ needleless protection systems makes the Plum A+ a convenient and cost-effective
infusion system.
THERAPIES
l Dose Calculation
l Loading Dose
l Multistep Programming
LINE PROGRAMMIN G OPTIONS

. Therapy Selection
l Nurse Call Back
l Delayed Start Setting
l Drug Label Library
. Concurrent delivery
l Titration
l Micro 0.1-99.9 mL/hr (in 0.1 mL increments) flow rate range for both lines
l Macro loo-999 mL/hr (in 1 mL increments) flow rate range for both lines
l Automated Secondary drug delivery (Piggyback)
PLUMSET CAPABILITIES
l Anti Free-Flow Protection
l Direct Connection for syringe delivery
AIR MANAGEMENT
l Air Trap
l Air Removal/Backpriming
l Air Detection-Proximal
l Air Detection-Distal
2- 1 430-95226-001 (Rev. 5/01)

Device Description
BATTERY
l Battery Gauge
l Six Hour Battery Recharge Time
l Long battery life (6 hours) for emergency backup and tempprary portable operation
BIOMEDICAL
l Serial Communication
l Upgradability (Field)
l Variable Rate Cap

1
. Alarm History
l Plug-in Bar Code Reader for drug identification (Optional)
l Nurse Call Relay Connector
OPTIONS
l Volumes Infused (A, B, Total Volume)
l KVO at dose end (1.0 ml/hr or less depending on delivery rate) or Continue Rate (CR) to
continue at the current rate
l Variable Distal Pressure Settings
OTHER FEATURES
Nonpulsatile volumetric accuracy
Microprocessor control
Large liquid crystal display (LCD) screen
Panel back illumination on mains power
Lockout switch
Standard fullfill, partfill, syringe and vial use
Parenteral and nonparenteral (enteral) fluid delivery
Blood and blood products delivery
Wide range of Standard and Specialty administration sets
430-95226-001 (Rev. 5/01) 2- 2 Plum A+ Infusion Pump

User Qualification
2.2 User Qualification

The Plum A+ is intended for use at the direction or under the supervision of licensed physicians or certified
healthcare professionals who are trained in the use of the pump and the administration of parenteral,
enteral, and epidural fluids and drugs and whole blood or red blood cell components. The training should
emphasize preventing related IV complications, including appropriate precautions to prevent accidental
infusion of air. The epidural route can be used to provide anesthesia or analgesia.
WARNING
ADMINISTER ONLY ANESTHETICS/ANALGESICS APPROVED FOR EPIDURAL ADMINISTRATION
(AS INDICATED OR ALLOWED BY THE DRUGS’ FDA APPROVEiD LABELING). EPIDURAL
ADMINISTRATION OF DRUGS OTHER THAN THOSE INDICATED FOR EPIDURAL USE COULD
RESULT IN SERIOUS INJURY TO THE PATIENT.
2.3 System Self-Tests

The pump performs a suite of System Self-Tests when power is applied to con.fii readiness for use.
Failure during the Self-Tests is reported as a Malfunction Condition.
System Operating Manual 2- 3 430-95226-001 (Rev. 5/01)

SECTION 3 hstructions for Use
‘.
This section explains the Plum A+ setup and administration set use.
3.1 Setup
WARNING
ARRANGE TUBING, CORDS, AND CABLES TO MINIMIZE THE RISK OF PATIENT STRANGULATION
OR ENTANGLEMENT.
UNPACKING
CAUTION: PR ODUCT D A MAGE MAY OCCUR UNLESS PROPER CARE IS EXBRCISED DURING UNPACXING
AND INSTALLATION. Do NOT USE TRE PLJJM A+ IF IT APPEARS DAMAGED IN ANY WAY. TRE BATTERY MAY
NOT BE CRARGED UPON RECEIPT.
Inspect the Plum A+ packaging for possible shipping damage. If damage is found, contact the delivery
company immediately.
Use care when unpacking the Plum A+. Retain the packing slip and save all packing material in case the
Plum A+ is damaged or fails the pump self-test and has to be returned to Abbott Laboratories.
Inspect the Plum A+ thoroughly for damage.
CAUTION: IF T= PLUM A+ APPEARS TO BE DAMAGED, CONTACT ABBOTT -ORATORIES.
To set up the Plum A+, connect the mains cord to a properly earthed mains receptacle, unless temporary
battery operation is desired.
Note: Use mains power whenever possible. Store the Plum A+ connected to mains to confirm a fully
charged battery for emergencies.
Note: If the quality of earth grounding source is in doubt, use battery power.
CAUTION: THE PLUM A+ SYSTEM IS DESIGNED TO OPERATE NORMALLY JN TRB PRESENCE OF MOST
ENCOUNTERED ELECTROMAGNETIC INTERFERENCE (EMI) CONDITIONS. m TRE EVENT OF EXTREME
LEVELS OF INTERFERENCE, SUCH AS ENCOUNTERED NEXT To AN ELECTROSURGICAL GENERATOR.
CELLULAR TELEPHONES, OR 2-WAY RADIOS, IT IS POSSIBLE THAT THE NORMAL OPERATION OF A SENSOR
OR MICROCOMPUTER MIGHT BE D I SR UPT ED . O PE RA TION OF THE PUMP UND ER THESE CON D ITIONS SROULD
BE AVOIDED.
3- 1 430-95226-001 (Rev. 5/01)

Instructions for Use
TANDEM CARRIER INSTRUCTIONS
The Plum A+ may be safely and conveniently mounted on an IV stand or on a tandem carrier mounted on an
IV stand.
Always mount the tandem carrier (List# 12276-O 1) to the pole before
attaching the pump(s) to the tandem carrier.
Make sure tandem carrier clamp is attached firmly to pole.
Make sure pumps are firmly attached to tandem carrier.
3.2 Administration Sets

The Plum A+ is compatible with the wide range of LifeCare Plum series administration sets. Become familiar
with the set components before preparing the administration set.
=Ei
Pnrnaty Line-
87
IK!B Finger Grip
Flow Regulator
4
Pumping Chamber
-~
Administration Sets
PREPARING THE ADMINISTRATION SET
Note: For detailed instructions, see administration set packaging.
Use the aseptic technique to prepare the administration set for priming, th$n proceed as follows:
Make sure flow regulator is closed. E
Insert piercing pin into container outlet with a twisting motion.
Fill drip chamber to about l/2 full or to score mark. Do not

completely fill.
Note: To avoid getting Distal Air Alarms, confirm that the fluid bag is positioned higher than the
pump. This should be set up prior to priming the cassette.
System Operating Manual 3- 3 430-95226-001 (Rev. 5101)

PRIMING THE ADMINISTRATION SET
To prime the administration set, proceed as follows:
1 Invert the cassette.
Turn the flow regulator counter-clockwise until a drop of fluid is

seen in the pumping chamber.
Turn the cassette upright, then prime the remainder of the

administration set.
Push in the flow regulator to close. Confirm there is no flow.

Administration Sets
LOADING THE CASSETTE
To load the primed cassette into the Plum A+, proceed as follows:
k.
Open the cassette door by lifting up the handle.
.T,.
Insert cassette into door guides. Close the cassette door. Confirm
there is no flow and no kinks appear in tubing.
Note: If flow is observed, close the tubing clamps and replace the administration set.
Note: The administration set should be changed per CDC guidelines or healthcare provider policy.
Discard after use.

PREPARING THE SECONDARY LINE
CAUTION: C ONS UL T THE DRUG LABELING TO CO N F IR M DRUG COEXPATIBILITP, CONCE NTRA TION ,
DELIVERY RATES, AND VOLUMES ARE ALL SUITABLE FOR CONCURRENT DELIVERY OR PIGGYBACK DELIVERY
(SECONDARY FOLLOWED AUTOMATICALLY BY PRIMARY) MODES. ,
The Plum A+ features concurrent or piggyback delivery modes when therapy requires administering more
than one fluid.
In addition to standard containers, the Plum A+ can use syringes or vials on the secondary port. The
secondary line can be prepared without removing or repriming the cassette.
Before preparing the secondary line, observe the following guidelines: ’

l Review the backpriming function
l Attach the secondary container using an 18- or 19- gauge, 31 mm (or shorter) needle, if
the cassette secondary inlet port has a piercing reseal
l Attach syringe adapter (List 1198648) to syringes smaller than 10 cc. (Syringes 10 cc or
larger can be attached directly to the secondary port of the cassette.)
l Syringes smaller than 3 cc should not be used.
l Attach a vial adapter (List 1188448) to the vial cap when using vials on the secondary
line
l When using a syringe adapter, retract the plunger to draw approximately 1 mL of fluid
into the syringe to clear air from the adapter filter.
To prepare the secondary line, use aseptic technique and proceed as follows:
With cassette door closed: loosen and remove white cap, then
discard. Add secondary tubing or syringe.
Open all proximal clamps before pressing [START].
Set up pump per operating instructions. (See Se&ions 4 and 5 of

this manual.)

Administration Sets
Vial or Syringe: Secure the container to the cassette door using the
optional container support arm (List 12095-04-01).
E
Vial: Attach the vial adapter to the secondary port. Backprime the air from the vial
adapter into the vial, if necessary.

3.3 DISCONTINUING ELECTRONIC FLOW CONTROL &

SETTING GRAVITY FLOW
CAUTION: B EFORE OPE N I N G DOOR , CLOSE CLAMP ON PRIMARY OR S~ONDARY SET OR R EMOVE
SECONDARY CONTAINER FROM SECONDARY PORT TO PREVENT MIXING Op_PRIBlARY AND SECONDARY
FLUIDS.
If electronic flow needs to be stopped, the precision flow regulator on the cassette can be used to manually
set and maintain fluid flow in a gravity mode (see the following graphics).
@ SET GRAVITY RATE BY

TURNING FLOW REGUIATOR
COUNTER-CLOCKWISE
@ OPEN DOOR & REMOVE CASSETTE
NOTE: CASSElTE SHOULD BE
NOTE: FLOW REGULATOR CLOSES IN UPRIGHT POSITION
AUTOMATICALLY WHEN DOOR IS OPENED
TO PREVENT ACCIDENTAL FREE FLOW
NOTE: IF DOOR OPEN ALARM OCCURS, TURN PUMP OFF
3.4 DISCONTINUING FLUID ADMINISTRATION
@ PRESS STOP
@ CLOSE DOOR
DISCARD SET AND FLUID

CONTAINER PER HOSPITAL
0 OPEN DOOR, REMOVE CASSETTE PROCEDURE

SECTION 4 Basic Operation
Line A Flow Indicator tine B Flow Indicator
Status Region ____) Status Region
Working Region _I_) + LCD

Working Region
Message Region e-b

Messa! ge Region
xkIrlr
Softkeys Label Region j
I Softkeys
AA
- Numeric Keys
Start and Stop Keys - moom UP/LEFT
e Selection Key
Charging/Line
Indicator DOWN/RIGHT
k
ON/OFF Key ___) + Silence Key
- Decimal Point Key

Numeric Field Clear Key Y
Basic Layout of Front Panel Display and Keypad
4.1 GETTING STARTED

This section details the Plum A+ instrument setup procedures.
SYSTEM SELF-TESTS
CAUTION: Do NOT P L ACE TRE PLUM A+ IN SER VI CE IF IT FAILS THE S YSTEM S ELF -TES TS .
Connect the mains cord to mains power, then confirm that the Charging/Line indicator illuminates (above
the [ON/OFF] key on the front panel).
4- 1 430-95226-001 (Rev. 5101)

Basic Operation
A systematic self-testing of the processing, delivery, and safeiy systems is performed whenever the Plum A+
is turned on, to verify readiness for operation.
Note: If the quality of earth grounding source is in doubt, use battery power.
Press the [ON/OFF] key to turn the power on. Check screen display and listen for a beep to indicate the
audio is working. Wait for the self-tests to complete. If successful, put a fully primed macro cassette into the
cassette door and close the door. See L.oaciing Cassette in Section 3 for details of correct procedure.
When the Charging/Line indicator is off and the battery symbol on the display is flashing, this indicates
that the Plum A+ is operating on low battery power and should be recharged.
CAUTION: Do NOT OPERATE THE PLUM A+ ON PATIENTS WITH THE -BATTERY REMOVED. USE OF A
q
A PROPERLY MAINTAINBD AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION.
To confirm battery is fully charged, connect the Plum A+ to AC power for a minimum of six hours while in
the OFF mode.
If an alarm occurs during the power on self-test, identify the alarm message, then take corrective action
(see Section 6, Alarms and Troubleshooting).
Start pump. If the self-test alarm recurs, remove the Plum A+ from service and contact the local Abbott
Laboratories representative.

Operating Keys
DATA RETENTION
Delivery program settings and programming option selections are retained in non-volatile memory. If the
Plum A+ has been turned off for longer than four hours, all delivery settings are cleared and programming
option selections are restored to their default selections for next use.
4.2 Operating Keys

The [ON/OFF] key is used to control the power of the
Plum A+.
Note: All deliveries must be stopped in order to turn the

power off.
Note: To confirm~proper shutdown of pump, do not unplug
until “double beep” is heard (approximately 5 seconds). lf
“double beep” is not heard, the pump will turn itself back on
thinking the AC power was lost and revert to battery back-up
power.
The [START] key is used to begin infusion and as final
confirmation of programming.
The [STOP] key is used to stop the current delivery on

one line; used in conjunction with soft keys to stop
delivery on both lines.
The [SILENCE] key is used to silence an audible alarm

during actions to correct its cause.

Basic Operation
The [SELECT] key is used to move the highlighting

cursor between the programming fields.
The numeric keys are used to enter values for any

highlighted field requiring numeric data.
The [CLEAR] key will cause a highlighted numeric

field to be cleared in preparation for data entry.
The [DECIMAL POINT] key is used to manually enter

numbers other than whole numbers (i.e., 1.2 mL).
Softkeys are located at the bottom of the main display

and serve a variety of functions. What each key does
is indicated by the text in the display above the actual
softkey.

lqdicators
4.3 Indicators
The Charge/Line Indicator is illuminated to indicate
CHARGE the battery is currently charging.
Note: If the device is plugged into AC power, with a battery

installed, and the Charge Indicator is not illuminated, contact
technical support.
The fluid drop symbol, when flashing, indicates an

active infusion on Line A and/or Line B.
Battery Capacity Symbol (located on right side of

message region on display) indicates relative charge
with number of white boxes from left to right.
This example indicates the battery is about two-thirds

full.
4.4 Rear Case Controls

The audio level rotary knob, located on the back,
adjusts the alarm audio level.
The toggle switch, located below the audio level

control, activates the lockout function when the lever
is placed in the “up” position, disabling all front panel
keys except [STOP].
Note: Pressing of a key while lockout is active results in the
display of the lockout enabled message. This action is
recommended to car&m each lockout activation.
Note: If the lockout switch is put in the “Locked” position
while the pump is off, the [ON/OFF] key allows the unit to
turn on.

00
The connector located below the lockout switch is the
Nurse Call Relay Connector, for providing remote
notification of a nurse call event.
<
The RS-232 DataPort is used to interface with a host

computer.
Note: Do not operate while’infusing.
Barcode Wand (optional) is used to scan desired drug

names from provided list. It plugs into the Barcode
Wand Port, located in the back of the pump.

Power On
4.5 Power On
1. Press [ON/OFF] to turn on the Plum A+ and you will see
the System Self-Tests screen. c
CAUTION: THE PUMP MUST BE INITIALLY STARTED ON AC POWER,

OTHERWISE THE DATAPORT MAY NOT OPERATE PROPERLY.
After self-testing successfully completes, the display will

proceed to the next screen.
Note: If battery is missing or defective, a “Battery not installed”
message with a ‘Continue without battery” prompt will appear (AC
power only).
CAUTION: Do NOT OPERATE THB PLIRI A+ ON PATIENTS WITH THE
BATTERY REMOVED. USE OF A PROPERLY MAINTAINED AND CHARGED
BATTERY HELPS CONFIRM PROPER OPERATION.
2. To set up the Plum A+, insert selected Plum Set and close
cassette holder door lever.
Note: If cassette is already inserted, this screen is skipped.
SETUP Example of Clear Settings Screen
Clear Settings? 3. The on-screen message “Clear Settings?” may appear.

Press A [Yes]to clear all settings.
Clear ALL settings when changing patients or multiple

programming parameters.
Use A [c&f Program]when changing ONLY Line A

or B.
Note: This clears all delivery parameters, such as Rate and VTBI on
both lines, as well as setting items, such as the KVO and Nurse
Callback options, to their default values.
Note: If no settings currently exist or all settings are zero, this
screen will be bypassed.

Basic Operation
4.4 Simple Delivery

lnlsroppEolsroppEDls1 Example of Main Delivery Screen (with cleared settings).
Note: For clarity, whole number font sizes will appear larger than
partial number font sizes (numbers on the right-side of the decimal).
1. To Program a delivery rate, press A [A].
2. To enter delivery rate, use numeric keypad.
3. Use [SELECT] key to move down to the VTBI field.

Note: Upon entry to this screen, and to all lower screens from here
Duration 0O:OO hnmin on, the Barcode Reader (BCR) is enabled as indicated by “Wand
Active” when attached to the Plum A+. To use the BCR, swipe tip of
BCR wand across entire barcode, from dot to dot, on the Abbott
supplied drug list card. The drug name also can be selected using A
[Program Options].
4. To enter VTBI amount, use keypad.

Rate 5.5 mLhr Note: While the VTBI is being entered, the duration is automatically
computed. If the computed value is greater than 99:59, dashes (- -)
VTBI =mL appear in place of hours.
Duration 0O:OO hrzmin
5. Use [SELECT] key to move down to the DURATION field.
6. Use keypad to change the hours part of duration if

desired.
Note: When all parameters are displayed, changing any one
parameter will result in other parameters automatically being
Duration DO5 hEmin computed. To understand the Automatic Calculation feature, see
Section 4.7 Examples of Automatic Calculation,
7. Use [SELECT] to change from hours to minutes.
Note: The maximum hours allowed is 99 and the mmum

minutes is 59.
8. Use keypad to change minutes.
430-95226-001 (Rev. 5/01) 4- 8 Plum A+ Iufusien Pump

Examnles of Automatic Calculation
CAUTION: VERIFY RATE, VTBI, AND DURATION BEFORE

A 1 PUMPING 1 STOPPED I B I
[START].
PRESSING
5.5 lbte 0.0

mLlhr
9. Press [START] to begin infusion.
Example of Main Delivery Screen jusf,after being

programmed and started.
A B %z Note: The Line A Fluid Flow Indicator also will flash to indicate
A A A A, pumping.
L
A
4.7 Examples of Automatic Calculation
W HILE R UNNING AT KVO

A T S TARTUP
(T ITRATION ) \rrBl=O.O DUFUUION=OO:OO
1st Action 2nd Action [AUTO&UC] 1 st Action 2nd Action [AUTOCALC] 1 st Action 2nd Action [AUTOCALC]
Enter RATE 1 Enter VTBI 1 [DURATION] Change RATE 1 Keep VTBI ) [DURATION] Enter VTBI 1 Kee0 RATE I DURAT/ONl
Enter Enter
Enter VTBI PATE] Change RATE Change VTBI [DURATION] Keep RATE
DURATION DURATION
Enter
Enter RATE W-W Change VTBI Keep RATE [DURATION] Change RATE Enter VTBI [DURATION]
DURATION I
Change Enter
[DURATION]
Keep VTBI [RATE] Enter VTBI
DURATION DURATION
Enter
Change VTBl ~~~!fON PATE] Enter VTBI [RATE]
I DURATION

Basic Operation
4.8 Titration
r 1. Select Line A [A] (or A [BJ at the Main Delivery Screen.
I
I A I
R
A ,AlAlAlA]
2. Enter the desired Rate using the keypad.

Note: When Rate is changed, the duration is automatically
recomputed using the current VTBI. To understand the Automatic
Calculation feature, see Section 4.7 Examples of Automatic
Duration 03:20 h Calculation,
CAUTION: VERIFY RATE. VTBI. AND DURATION BEFORE

[START].
PRESSING
3. After any change, press [START] to initiate new Rate and

return to the Main Delivery Screen.
Note: Volume Infused is an incrementing value which is cleared in

A
A [Options/V01 Inn.
B %z
\A A A A,
THE FOLLOWING 3 SCREENS ARE EXAMPLES OF
CHANGED VALUES.
EXAMPLE OF CHANGED RATE.

Duration 03:20 hrmin
4. From the Main Delivery Screen, press A [A].
5. Use keypad to change the RATE value.

Note: The display time is only accurate to f one minute. As shown
in this example, the delivery shows 3 hours and 20 minutes (not 3
minutes and 20 seconds).
Note: [START] accepts the change. Delivery is changed to the new
RATE and DURATION and display returns to Main Delivery Screen.

Titration
EXAMPLE OF CHANGED VTBI VALUE.
6. Use [SELECT] key to highlight the VTBI field.
Duration 06:40 hrzmin 7. Use the keypad to change the VTBI:value.
Note: When the VTBI is changed, the Duration is recomputed with

respect to the current Rate. To understand the Automatic Calculation
feature, see Section 4.7 Examples of Automatic Calculation,
Note: [STAKE?] accepts the change. Delivery is changed to the new
VTBI and DURATION and display returns to Main Delivery Screen.
EXAMPLE OF CHANGED DURATION FIELD.
8. Use [SELECT] to highlight the Duration field, then use the

keypad to change it’s value.
Duration DO:mhnmin
Note: When DURATION is changed, RATE is automatically
recomputed using the current VTBI value. To understand the
Automatic Calculation feature, see Section 4.7JZxampIes OfAutomatic
Calculation,
Note: [SI’ART] accepts the change. Delivery is changed to the new
DURATION and RATE and display returns to Main Delivery Screen.
CAUTION: VERIFY RATE. VTBI, AND DURATION BEFORE
[START].
PRESSING

Basic Operation
4.9 Simple Delivery using Drug List

1 A I SfOPPED STOPPED I B I 1. Select Line A [A] (or A [f3j) at the Main Delivery Screen,
0.0 Jp,& 0.0 Note: To select a Drug Name using a Therapy (i.e., Dose Calc) you
must first select which line you want (A or B), next select A [Therapy],
0.0 ““,:“’ 0.0 and then A [Program Options]. If you select a Drug Name first, it will
be cleared upon entry in Therapy mode.
The Line A Programming Screen appears.
Rate m mVhr 2. Enter a RATE using the keypad.
Duration 0O:OO hrzmin 3. Use [SELECT] to highlight the VTBl field and enter a
value. The Duration will be automatically calculated.
4. Before or after entering the simple delivery program,

press A [Program Options].
VTBI WmL
Duration 50:00 hrmin
A1 Program Options The Default screen for Program Options appears.

wud&aivl
5. Press A [Drug List].
Delay Start for lO0 hcmin
Callback No
430-95226-001 (Rev. S/01) 4- 12 Plum A+ Infusion Pump

Simple Delivery using Drug List
The Drug List Screen appears, in mainly alphabetical

order.
Note: Default entry is “No Drug Selected”. This selection may be
Alfentanil
used later to remove an incorrect or unwanted drug name from the
Alpnstadil display.
Alteplase (d-PA)
Amikacin
Program Drug List 6. Use [SELECT] to highlight desired’drug name.

Wnd_
Cydogporin
cytarabine
Dexmetatomidine
7. When list does not contain desired generic drug name or
Diltiiem
Diuretic
group name press A [Page Down] (or A [Page Up]) until it
Dotutamine
shows, then use [SELECT] to highlight choice.
8. Press A [Enter]to indicate selection and return to the

Program Options screen. Or, press A [Cancel/Back] if no
choice is acceptable.
A1 Program Options Drug name is now visible in the upper-left corner.
aopamm wmld*ntw
9. Press A [Enter] or A [Cancel/Back] to return to the Line
Delay Start form:00 hcmir:
Callback No Programming screen.

PRESSING [START].
10. Press [START] to confirm the programming, begin the

delivery, and return to the Main delivery screen.
A 1 PUMPING 1 STOPPED 1 B Notice the drug name remains in the upper-left corner.
Dc+mlwd
5.0 r&k, 6.0

0.1 VZ:“’ 0.0

Basic Operation
4.10 Simple Delivery Using Delayed Start

1. Before or after entering the simple delivery program,
press A [Program Options]. j ,
1 Rate 5.0 mL/hr I
VTBI BmL Note: To program a Delayed Start using a Therapy (i.e., Dose Calc)
you must first select which line you want (A or B), next select A
Duration 50:00 hr:min [Therapy], and then A F'rogrcun Options]. If you program the Delayed
Start first, it will be cleared upon entry into Therapy mode.
A1 Program Options The Default screen for Program Options appears.

Wud_
Delay Start for BOO hr:min
2. Enter values for desired hours and/or minutes.
3. Press A [Enter-to confirm delayed start.

Delay Start for Ooa hrzmin

[START].
PRESSING
4. Press [START] to confirm programming.
t A I DELAYED I STOPPED I B 1 Line A is delayed for the time entered.
mt%r
Note: Delayed line drip indicator is solid, not flashing. It will begin
5.0 O-O flashing when actually pumping.
O-O Vd’nf
mL
0.0

Piggyback Delivery
4.1 I Piggyback Delivery

I A I PUMPING1 STOPPED 1 B I PIGGYBACK DELIVERY - Infusion will stop Line A and infuse Line B
until VTBI completes. Line A will automatically restart.
5.5 z;Er 0.0
1. With pumping started on Line A, t&rogram a Piggyback
20.0 vy 0.0
delivery, press A [Bl.
L
‘1
A
The Delivery Mode field is highlighted.

Note: If an entry was previously programmed, RATE is highlighted.
If no previous entries, MODE is highlighted.
Duration 0090 hr:min

2. If field reads “Concurrent”, press A [Change Mode]to
switch to “Piggyback”.
3. Press [SELECT] to highlight the RATE field.
Note: Upon entry to this screen, and to all lower screens from here,
the Barcode Reader (BCR) is enabled as indicated by “Wand Active”
when attached to the Plum A+. To use the BCR, swipe tip of BCRwand
across entire barcode, from dot to dot, on the Abbott supplied drug
list card. The drug name also can be selected using A IPrwrcun
Options].
4. To enter delivery rate, use numeric keypad.
Duration 0O:OO hr:min

Basic Operation
Mode Piggyback Note: While the VTBI is being entered, the duration is automatically
computed. If the computed value is greater than 99:59, dashes (- -)
appear in place of hours. To understand the Automatic Calculation
feature, see Section 4.7 Examples of Automatic Calculation,
Duration 00:30 hcmin
8. (Optional) Use keypad to change duration.
Mode Piggyback When all parameters are displayed, changing any one
Rate 133 mL/hr parameter will result in other parameters automatically
ml 100 mL being computed.
Duration OOa hnmin
CAUTION: V E RI FY RATE. VTBI. AND DURATION BEFO RE
PRESSING [START].
9. Press [START] to begin infusion.
Note: If Line A has a Delay Start remaining, a message will appear

warning of a possible non-delivery (see section 4-18).
10. Press A /Yes] to continue.

A i DELAYED 1 PUMPING 1 B 1 Example of Main Delivery Screen just after being
programmed and started.
5.5 m%“,, 133
20.0 ““,:” 0.1

Piggyback with Nurse Callback
4.12 Piggyback with Nurse Callback
PROGRAM (B 1. Press A [Program Options].

v&d &%++a ,
Mode Piggyback Note: To set a nurse callback, the pump must be stopped. This
Rate 200 mUhr function can be selected either before or after entering the Piggyback
delivery program.
VTBI m mL
Duration DC:30 hcmin
1
Program Options B The default screen for Program Options appears.
wuld MIU
2. Use [SELECT] to highlight “Callback” field and press A
Delay Start for 0O:oO htzmin
[Yes/No], if necessary to obtain “Yes”, then press A [Enter].
CallbaCk I
Note: Callback default ofYes or No is a biomedical setting and must

be configured as described in the Technical Service Manual.
CAUTION: VERIFY RATE. VTBI, AND DURATION BEFORE

PROGRAM 1B [START].
PRESSING
wmdA0.r.m
Mode Piggyback
Rate 200 mL/hr 3. Press [START] to confirm program setting and return to
VT31 m mL Main Delivery screen.
Duration 00:30 hcmin
At end of Piggyback delivery, with Callback enabled for

the line, Callback alarm is issued.
4. Press [SILENCE] to clear alarm.

Basic Operation
4.13 Concurrent Delivery

l-
-PUMPING/ CONCURRENT DELIVERY - Simultaneous delivery of two fluids at
independent flow rates. e. ~
II
5.5 E, O-0 I CAUTION: C ONSULT DRUG LABEL&G TO CONFIRM DRUG
0.1 ““nl:“’ 0.0 COMPATIBILITY, CONCENTRATION, DELIVERY RATES, AND VOLUME ARE
ALL SUITABLE FOR CONCURRENT AND PIGGYRACK DELIVERY MODES.
I
m
\rIAlAlAj
S EE S ECTION 8, FOR INF O R M A TION ON C ONC URRENT
SECTION 9 FOR DELJVER Y RATE RANGES).
Note:
FLOW (SEE
In concurrent mode with ceitain alarm conditions, one line

may stop while the other line may continue to deliver.
1. With pumping started on line A, to program a Concurrent

delivery rate, press A [f3J
PROGRAM (B The Delivery Mode field is highlighted.
w*
Mode bxq
Note: If an entry was previously programmed, RATE is highlighted.
If no previous entries, MODE is highlighted.
Rate 0.0 mUhr
VrBl 0.0 mL
2. If field reads “Piggyback”, press A [Change Mode]to
Duration 0O:OO hcmin
switch to “Concurrent”.
Note: Upon entry to this screen, and to alI lower screens from here,
the Barcode Reader (BCR) is enabled as indicated by “Wand Active”
when attached to the Plum A+. To use the BCR. swipe tip of BCR wand
across entire barcode, from dot to dot, on the Abbott supplied drug
list card. The drug name also can be selected using A fProgram
OptionsJ
Verify change to “Concurrent” mode.
-
Mode B 3. Use [SELECT] to highlight Rate field.
Rate 0.0 mUhr
Vi-B1 0.0 mL
Duration 00: 00 hrrmin

Concurrent Deliverv
PROGRAM 1B 4. To enter delivery rate, use numeric keypad.

Wrnd Aati
Mode Concurrent Note: When Rate for Line A plus Rate for Line B is greater than valid
Rate m ml/hr rate ranges, a “Concurrency violation” message will explain why
VTBI 0.0 mL second line did not start. See Section 9, for ‘.
valid deliwry rate ranges.
Duration 0O:OO hcmin Note: ‘Concurrency violation” may not be displayed if unit is
displaying “VTBI Complete”. The device will not start and an invalid
keypress sound will occur when START is pressed.

Mode Concurrent Note: While theVTB1 is being entered, the duration is automatically
computed. While the computed value is greater than 99:59, dashes
(- -) appear in place of hours. To understand the Automatic
Calculation feature, see Section 4.7 Examples of Automatic
Duration En:00 hnmin calculation,
8. (Optional) Enter values for desired hours and minutes.
Note: When Duration is entered, Rate is automatically computed.

CAUTION: VERIFY RATE. VTBI. AND DURATION BEFORE
PRESSING [START].
9. Press [START] to begin infusion and return to the Main

Delivery screen.
Example of a concurrent delivery.

Basic Operation
4.14 Select Option- Volumes Infused, Pressure/Post Infusion

Rate, and Lighting/Contrast
1. To select Options Screen, press A,[OptionsNol In@
2. Use [SELECT] to highlight an option.
3. Press A [Choose] to select the Volumes Infused screen.

Pressure/Past Infusion Rate
Lighting/Con~rast
IAl OPTIONS IBl

This will bring up the Volumes Infused screen which
defaults to Total Volume.
Volumes Infused
LineA 393 mL
4. Use [SELECT] to scroll to Line A or B.
tine B 0.0 mL
Total Vol m mL
5. To reset Line A (or B) Volume Infused, use [SELECT] to

highlight and press [CLEAR].
6. To restore the,cleared quantity, press A [Cancel Back-

Select Option- Volumes Infused, Pressure/Post Infusion Rate, and Lighting/Contrast
7. To reset all valumes, use [SELECT] to highlight Total Vol,

then press [CLEAR].
Volumes Infused
8. To restore all quantities, press A‘ [Cancel/Back] softkey.
9. When clearing of quantities is completed, press A [Enter]

to return to the Main Delivery screen.
10. Select A [Options/l/o/ lng from t;he Main Delivery

screen to return to the Options screen. L
A
11. Use [SELECT] to highlight the Pressure/Post Infusion

Lighting/Contrast Rate option.
I
12. Press A [Choose]to continue.
Note: Prior to changing Pressure/Post Infusion Rate, pump must

be stopped.
Al OPTIONS IBl 13. Use [SELECT] to highlight Continue Rate or Distal
Pressure Limit field.
Pressure/Post Infusion Rate
Canlinw Rate m
D&l Presrwe Limit 6.0 psi 14. Continue Rate allows a choice when VTBI is completed.
Dii Pressus 0.0 psi
Press A [KVO/Rate]
KVO- The pump will revert to a fixed KVO of 1 mL/hr or the last pro-
grammed Rate, whichever is less.
Rate- The pump @ll continue at the Rate programmed.
Note: Option will be for both line A and line B selections.
15. To change Distal Pressure Limit when highlighted, enter

value between 1.0 and 15.0 psi.
16. Press A [Enter] to keep changes and return to the Main

Delivery screen, or A [Cancel/Back] to restore original
values Options screen.
Note: Continue Rate default of KVO or Rate is a biomedical setting

and must be configured as described in the Technical Service Manual.

Basic Operation
\I OPTIONS IB 17. Select A [Options/Vo/ lnfl from the Main Delivery

screen to return to the Options screen.
Volumes Infused
Pressure/Post Infusion Rate 18. Use [SELECT] key to highlight Cighting/Contrast Option.
19. Press A [Choose] to continue.
[Al OPTIONS 20. Press [SELECT] key to highlight’Backlight Intensity or

Display Contrast.
Lighting/Contrast
21. While viewing display for desired effect, press either A

Display Contrast m
[Increase Setting] or A [Decrease Setting] to change level.
22. Press A [Enter]to keep change(s) and return to the
Main Delivery screen, or A [Cancel/Back]to restore
previous settings and return to the Options screen.

Stop and Start with only 1 Line Pumping
4.15 Stop and Start with only 1 Line Pumping

A) PUMPING1 STOPPED 1 B 1. Press [STOP] at the Main Delivery Screen.
100 ,“,a:;, 0.0 Note: If A [A] (or A [BJ is pressed prior to lSTOP], the line is stopped,
the display will show the progr amming screen. Press A [CanceYBack]
8.5 v;:“’ 0.0 to return to the Main Delivery screen.
A B Options
Vol Ini
<A A A A,
Example of STOPPED delivery.
2. To discontinue infusion, press [ON/OFF].
3. Clamp secondary tubing if connected.
4. Open door, remove set and close door. Or, press [START]
to resume infusion.
4.16 Stop and Start with Both Lines Pumping

1. Press [STOP] at the Main Delivery Screen.
System Operating Manual 430-95226-001 (Rev. 5/01)

Basic Operation
2. Press A [Stop A], A [Stop B], or A [Stop All]
Note: If A [A] (or A [BJJ is pressed prior to [STOP], the display will
show the programming screen. Press A [Cancel/Back] to return to the
Main Delivery screen.
q rAISX)PPED Example of stopped infusion. ’
Note: This is an example using A [Stop AU].

25.0 my;;, 50.0
3.0 “y 20.4

PRESSING [START].
3. To resume infusion, press [START].
4. Select A [Start A], A [Start B], or A [Stati All]. Or, to

discontinue infusion, press [ON/OFF].
5. Clamp secondary tubing if connected.
6. Open door, remove set and close door.

Backpriming
4.17 Backpriming
A) STOPPED 1 STOPPED 1 B BACKPRIMING Removal of air or fluid from the proximal line and
cassette airtrap.
5.5 :;tr 0.0
1. To initiate a backprime, press A [Back Prime].
8.9 “Z:” 0.0
Note: Backpriming is available only when all delivery is stopped.
Secondary container is necessary to receive the air.
Bsck A
prime R%z
AA A A,
2. Press and hold A [Back Prime] until fluid pumped from
line A to line B has expelled the air from cassette air trap
into Secondary container.
Note: Fluid flow is at maximum rate possible.
3. Upon release of A [Back Prime], the cassette test is

performed to confirm readiness for pumping. Pressing
[START] will resume programmed delivery.
4.18 Clearing Program Settings

A I PUMPING i STOPPED I 61 1. Press [STOP] at the Main Delivery Screen.

Use A [c/ear Program]when changing ONLY Line A

or 8.

Basic Operation
Al PROGRAM 2. Select Line A (or B if active) from the stopped Main

Delivery Screen.
Rate m mUhr
VTBI 22.0 mL 3. Select A [C/ear Program].

Duration 03:20 hr:min
Note: If Line A or B is programmed with a Therapy (i.e., Dose
Calculation), Rate, VTBI and Duration will not display values. The
values to be cleared may be viewed in applicable programming screen
under A [Therapy].
4. Select A [Yes].

Clear Line A Settings? programming parameters.
Use A [C/ear Programlwhen changing ONLY Line A

or B.
PROGRAM Example screen of “Cleared Program”.

wind &++a
Rate m ml/hr 5. Press A [CanceVBack]to return to the Main Delivery

VTBI 0.0 mL screen or program new settings.
Duration 0O:OO hnmin
4.19 Possible Non-Delivery Programmed

Note: Whenever a valid [SIXRT] key is pressed, the device checks
the delivery program(s) for non-delivery conditions (such as Line B
Piggyback without Line A or delayed start) that could permit a period
of non-delivery. If so, the display presents this warning screen.
continw anyway? 1. Press A [Yes] to continue with delivery. Or, press A [N O]

to cancel.

SECTION 5 TherapieS (For Advanced Users*)
* Advanced users are those who have received additional
training on programming and use of functions.
Dose Allows programming Dose Rates in alternative units of measure. Dose

Calculation- Calculation can be used in Simple Delivery, Loading Dose, and Multistep.
Loading Dose- Allows programming of an initial infusion rate for a specific volume,
followed automatically by a maintenance rate from the same container
(e.g., a fluid challenge). If Dose Calc is used, the Loading Dose and
Maintenance Dose are in the same unit of measure, over the same period
of time (mcg/min), from the same container.
Multistep- Allows a sequential program to deliver up to 10 steps; fluid volumes and
delivery rates may be programmed for each step. The program may be
entered based on Rate and Volume or Volume and Time. If Dose Calc is
used, the delivery steps are in the same unit of measure, over the same
period of time, from the same container.
5.1 Dose Calc (mcg/kg/min on A)

DOSE CALCULATION - Allows programming Dose Rates in
alternative units of measure. Dose Calculation can be used in Simple
Delivery, Loading Dose, and Multistep.

or B.
1. Press A [A] at the Main Delivery Screen.

The Line A Programming screen appears.
Rate m mL/hr 2. Press A [Therapy].
5- 1 430-95226-001 (Rev. 5/01)

Therapies (For Advanced Users*)
The Select Therapy screen for Line A appears.

Note: Dose Calculation is the only available option if Line A is
infusing.
Loading Dose
Multistep 3. Press A [Choosejto continue. ’ ‘:
IAI Proaram Dose Calc I The Program Dose Calc screen ap’pears.
Note: Screen defaults to the mcg/kg/min option or the previously
selected option.
4. Use [SELECT] key to highlight the units to use in the

delivery.
5. Press A [Choose] to continue.

Note: Previously selected Drug Names and Delayed Start entries
will be cleared if entered prior to Therapy selection. To reselect,
press A [Program Options1 after selecting desired Therapy and Units.
1Al Program Dose Calc The Container Concentration Selection screen appears
whenever the selected Dose Units are gram-based (e.g.,
Drug Cone in Container
grams, mg, mcg, or ng) otherwise this screen is skipped.
Note: Default choice for possible gram-based Container
Concentration Unit is mg or the previously selected option.
Use [SELECT] key to highlight the Container

6.
Concentration units to use in the delivery.

The next page of the Program Dose Calc screen appears
to provide for entry of delivery program parameters.
Weight -kg 3. Use keypad to enter desired values. Once each value is
o.cra mr)*pmrkl
entered, use [SELECT] to highlight the next programming
‘ield.
Note: The Concentration elements and weight value must be
entered before the (SELECT] key allows access to remaining fields.

Dose Calc (mca/ka/min on A)
A ( Program Dose Calc 9. Continue to enter values using the keypad and advancing
- wvKIAdi4#
to the next field using [SELECT].
400 mg 250 mL
70.0 kg Note: As the Dose value is entered, the Rate is automatically
m 0.0 lr#g!nlin ml_ calculated. To understand the Autom’atic Calculation feature, see
mm kc*
7.9 ml.&, Section 4.7 Examples of Automatic Calculation,
rA I Program Dose Calc 10. Use [SELECT] to scroll down to the VTBI field.
- -MN0
E
I
A I Program Dose Calc 11. Enter a value for VTBI using the keypad.
- WMd-
Note: As the VTBI value is entered or changes, Duration is
ccnc mmg 250 rnL
automatically updated.
Weight 70.0 kg
KY
0watkel
Note: The A [Program Options] path to setting Delayed Start or
bs assignin a drug name from the internal list functions exactly as
describe 2 in Basic Operation for the Simple Delivery in Section 4.
CAUTION: VERIFY DOSE, RATE, VTBI, AND DURATION BEFORE

PRESSING [START].
12. After entering the desired VTBI value and any desired A
[Program Options],,press [START] to begin infusion.

4 1 PUMPING 1 STOPPED The Main Delivery Screen appears, to display the

~ZZL4&C4 information just entered.
7.9 z;;, 0.0
Note: The Therapy Type is displayed as well as the Dose Rate and
Dose Units. %, I
0.1 Vi:“’ 0.0
1M Dose
mql*phnin

Dose Calc (mg/hr on B)
5.2 Dose Calc (mg/hr on B)

A 1 PUMPING 1 STOPPED 1 B D OSE C ALCULATION - Allows programming Dose Rates in
alternative units of measure. Dose Calculation can be used in Simple
5.5 Delivery, Loading Dose, and Multistep. :,
m?ehr 9-o
O”
Vol
mL
Inf 0.0 Clear ALL settings when changing patients or multiple

or B. ‘1
1. Press A [B] at the Main Delivery screen.

The Line B Programming screen appears.
2. Press A [Therapy].
The Select Therapy screen for Line B appears.

The screen defaults to Dose Calculation or the
previously selected option.
Note: Dose Calculation is the only available therapy while Line B
is running.
3. Press A [Choosejto continue.
The Program Dose Calc screen appears.

Note: The screen defaults to the mcg/kg/min option or the
previously selected option.
Note: Previously selected Drug Names and Delayed Start entries
will be cleared if programmed prior to Therapy selection. To reselect,
press A [Program Options] after selecting desired Therapy and Units.

4. Continue to scroll using [SELECT] key until desired field is

highlighted.
5. When desired field (mg/hr in this sample) is highlighted,

‘_
press A [Choose].
The Container Concentration Selection screen appears

Drug Cow in Container grams, mg, mcg, or ng) otherwise this screen is skipped.
6. Use [SELECT] key to highlight the Container

Beck
Concentration units to use in the delivery
,A xA A,
The next page of the Program Dose Calc screen appears.
The screen defaults to Concentration (Cone) and a value
must be entered to continue.
8. Use keypad to enter desired values. Once entered, use

[SELECT] to highlight the next field.
9. To override the Piggyback Delivery Mode default, scroll

down to Mode using [SELECT], then press A [Change
Mode].
Note: Delivery Mode Option is available on Line B, its default is
Piggyback, and the Weight field is gone.

Dose Calc (m&r on B)
Program Dose Calc IB 10. Continue entering desired values using the keypad. Use
v&nd pdive
[SELECT] to advance to the next field.
cone 200 w fo0 mL
Mode Concurrent
Note: When entering the RATE, with-a VTBI value entered, the
DOSE and DURATION fields are automatically updated. To
understand the Automatic Calculation feature, see Section 4.7
Examples of Automatic Calculation,
Note: The Duration field temporarily than es to dashes when the
computed value is larger than what can be /?isplayed.
11. Continue entering the RATE value, if desired.
Note: As Hate is entered, the Duration and Dose are automatically

adjusted as individual numbers are entered.
Note: If the Duration value is changed, the Rate and Dose are
automatically adjusted.
Program Dose Calc IB CAUTION: VERIFY DOSE, RATE, VTBI. AND DURATION BEFORE
wAc6u [START].
PRESSING
z &&J loa mL 12. To start the delivery, press [START].

Note: To select Delayed Start, press A [Program OptionsJ
PUMPING 1 PUMPING Upon [START], the Main Delivery Screen shows delivery
status for both A and B lines.
1.0 n&e
mLI hr
Note: See Pelivery Rate Range in Section 9. The ratio of concurrent
5.0 Vol Inf rates has recommendations specified in Section 8.3.
mL
13. Select A [BJ
Program Dose Calc IB 14. To update and identify the infusing drug, enter the drug
Wmd_ -
name by using either the BCR or via A [Program Options]
then A [Drug List] with an entry for a selection.
The drug name will appear in the upper-right corner.

Note: If a drug name was previously entered and confiied by
pressing [START], it cannot be changed while line is infusing. The
line must be stopped and the Dose Calc screen entered before it can
be changed.

4 1 PUMPING 1 PUMPING 1 E CAUTION: VERIFY DOSE, BATE, VTBI, AND DURATION BEFORE
PRESSING [START].
D%o c%c%z
1.0 Rate 0.5
mL1 hr 15. Press [START] to confirm entries and return to the Main
5.0 Vd Inl 0.2 Delivery screen. I.
mL
Dose s,

Loading Dose
5.3 Loading Dose

/A( L OADING D OSE - AIIOWS programming of an initial infusion rate for
a specific volume, followed automatically ,by a maintenance rate from
the same container (e.g.. a fluid challenge). If Dose Calc is used, the
0.0 :;tr 0.0 Loading Dose and Maintenance Dose are in the same unit of measure,
0.0 y: 0.0 over the same period of time (mcg/min). from the same container.

Use A [C/ear Program]when changing ONLY Line A

or B.
1. Select A [A] (or A [BJ at the Main Delivery screen.

The selected Line (A or B) Programming screen appears.
2. Press A [Therapy].
Duration 0O:OO hnmin
Al PROGRAM The Select Therapy screen for Line A (or B) appears.

VJand AJxka
Note: This example shows line A being programmed.
Loading Dose
Multistep
Al PROGRAM 3. Use [SELECT] to scroll down to Loading Dose.

Wsnd_
Doss Calculation 4. Press A [Choose] to continue.

Multistep
System Operating Manual 430-95226-001 (Rev. 5101)

I A 1 Proaram Loadina Dose 1

The Program Loading Dose screen appears.
Note: The screen defaults to the mL/hr option or the previously
selected option.
5. Press A [Choose]to continue, dr use [SELECT] to

highlight another option.
Chmse Back
6. When desired field is highlighted, press A [Choose].
<AA AA
The next page of the Program Loading Dose screen
appears.
2.k -
mL
“pgp
1 mm 0.0 0o.m
2 0.0 0.0 WE00
7. Enter a rate using the keypad from 0.1 to 999 mL/hr

depending on delivery mode.
8. After the desired value has been entered, use [SELECT] to

highlight the next field.
430-95226-001 (Rev. S/01) 5- 10 Plum A+ Infusion Pump

Loading Dose
A ( Program Loading Dose 9. Enter Volume To Be Infused (VTBI) from 0.1 to 9999 mL
Wsnd A&w
using the keypad.
Rate vrsl “;FmT Note: After a Rate and VTBI value are entered, the Duration is
mUhr
1 MO & w:c6 automatically computed. Manually changing the Duration field will
2 0.0 0.0 lYJ:W
automatically recompute the Rate. To understand the Automatic
Calculation feature, see Section 4.7 Exaniples of Automatic
Calculation,
10. After the values for the loading dose Step-l are entered,
use [SELECT] to highlight the maintenance dose Step-2.
Note: The loading dose therapy has two steps. The first is the
loading dose followed by the maintenance dose. These words will
appear on the Main Screen as each step is delivered.
6
I
A I Program Loading Dose II. Enter the Rate using the keypad.
WUdAC4iV8
Rate VTBI Duratim

mm ml tuxlin
1 wo 55.0 M):ffi
2 m 0.0 w:oo
Al Program Loadzdse 1 12. Use [SELECT] to highlight the next programming field.
Rate v-ml
miAw mL “h%
1 C&X
2 w:w

A I Program Loading Dose 13. Enter the desired VTBI using the keypad.
WandMive
Note: After the desired Rate and VTBI values are selected, the
Duration is automatically updated.
14. Press A [Program Options] to enable setting a Delayed

Start or to enable the Nurse Callback.option.
Note: Nurse Callback enables an alarm when a change in the

A1
/Program Optioiow delivery on a line occurs such as completing Step- 1 and starting
Step-2. Or on line B, a piggyback delivery is completed and line A is
starting its delivery.
Delay Start for lO0 hnmin
15. Enter a delay time (less than or equal to 24 hours) using

the keypad.
Delay Start for OOa hcmin
Note: Not available if a delivery is taking place on the line.
16. After selecting a desired value, use [SELECT] to highlight

the callback feature.

Loadina Dose
A) Program Options 17. Select using A [Yes/No].

wllnd-
Callback changes from NO to YES.
Delay Start for OD:O5 hr:min
Callback m Note: Nurse Callback cannot be changed while a delivery is taking
place on the line.
18. Press A [Enter] to accept the changes.

Note: A [Cancel/Back] returns the fields to their original value
and displays the previous screen.
CAUTION: VERIFY DOSE, RATE, VThI, AND DURATION BEFORE
A 1 Program Loading Dose [START].
PRESSING
WM(I*
19. Press [START] to begin delivery.
A 1 DELAYED 1 STOPPED 1 B The Main Delivery Screen appears.

Mhprrr Note: The words “DELAYED” and “Loading Dose” appear in the
500 m!% “’ upper-left comer. These indicate the options which have been
selected.
0.0 “$” 0.0
I A I PUMPING STOPPED I B I After the programmed delay period has expired, the
-Do-
Plum A+ starts “Pumping”. This is indicated where
500 Iwe 0.0 “Delayed” previously was displayed.
mL/hr
0.5 “$” 0.0

After the first step has completed, the Main Delivery

Screen changes to the second step.
Note: A flashing “Callback Line A” message and the audio alarm
sound indicates activation of that option.
20. The user should acknowledge the Callback message and

stop the audio alarm by pressing [SILENCE].
Upon completion of delivery, the screen shows a

flashing “Line A VTBI complete” message and the
audible alarm sounds.
Note: The KVO rate will change to the rate of 1.0 mL/hr or less
depending on delivery rate and “Pumping” mode changes to “KVO”.
If Continue Rate option was selected, pumping continues at original
rate.
21. Press [SILENCE] to stop alarm sound.
Note: Warning message continues to flash and audio alarm will

return after a two minute period of silence, unless delivery is
stopped or VTBI of last line is changed.
430-95226-001 (Rev. 5101) 5- 14 Plum A+ Infusion Pump

Multistep Programming
5.4 Multistep Programming

MULTISTEP- Allows a sequential program to deliver up to 10 steps:
fluid volumes and delivery rates may be Rrogrammed for each step.
The program may be entered based on Rate +ndVolume or Volume and
Time. If Dose Calc is used, the delivery steps’ are in the same unit of
measure, over the same period of time, from the same container.
Use A [C/ear Program]when cianging ONLY Line A

or B.
1. Select A [A] at the Main Delivery screen.

Al PROGRAM The Line A Programming screen appears.
W&_
Rate m mL/hr 2. Press A [Therapy].
VTBI 0.0 mL
Al PROGRAM The Select Therapy screen appears.

whnd&WO
Loading Dose
Multistep
Al PROGRAM Use [SELECT] to scroll down to Multistep.

WMdAC%Va
Press A [Chooselto continue.

I Dose Calculation
Loading Dose

Program Multistep The Program Multistep screen appears.

Note: Screen defaults to the mL/hr option or the previously
selected option.
AI Program Multistep 5. Use [SELECT] to highlight the desired setting. This

example is using mcg/hr.
6. Press A [Choose]to go to the second page of the

Program Multistep screen.
AI Program Multistep The Container Concentration Selection screen appears

Drug Cone in Container grams, mg, mcg, or ng) otherwise this screen is skipped.
7. Press A [Choose]to continue, or use [SELECT] to

Back
highlight another option.
Ax.A
8. When desired field is highlighted, press A [Choose].
AI Program Multistep 9. The default field is the concentration field (Cone). Enter
WMd_
value using keypad.
The user must enter the concentration drug amount and
1
s
z
O.oW
?%?
OOZW
oo:W
zt
2 z!ir0.0
::: 0.0 0.0 0.0
Note:
diluent volume before any other entries.
IE 0.0 0.0
430-95226-001 (Rev. 5/01) Plum A+ Infusion Pump

A) Program Multistep 10. Use [SELECT] to highlight the next programming field
WMd*aMI
(Diluent-Amount).
cow 50.0 mg m rnL
mgmr hcmin mL mLRn

11. Enter value using keypad.
: %z 00: 00: 00 00 0.0 0.0 0.0 0.0
3 _.
olxa I?303 0.0
0.0
0.0
0.0
i 0.030 oo:w
12. Use [SELECT] to highlight the next field.
13. Enter Dose using keypad.
6.
Note: The Rate value is automatically computed. To understand the
Automatic Calculation feature, see Section 4.7 Exa~npZes ofAutomatic
Calculatfon,
AI Program Multistep 14. Use [SELECT] to highlight the Duration or VTBI field.
v&a MM
ceix 50.0 mg so0 rnL Note: The VTBI value is automatically computed when the
Duration value is entered. If VTBI is entered, the Duration value is
automatically computed.
AI Program Multistep 15. Use [SELECT] to highlight the Rate field.

WMd*ruvs
caw 50.0 mg 500 mL Note: If Rate is changed, Dose and Duration (or VTBI) are
automatically re-computed, depending on the prog ramming order.

16. Use [SELECT] to scroll past the Rate. The cursor will
drop down to Step-2 Dose field.
17. Enter the set of desired values for Step-2 of the program.
Continue process for each additionaf.Step.
r Note: When Step-4 is programmed;:using [SELECT] to advance

will highlight another item on this screen.
18. When Step-4 is programmed, press A [More Steps] to

program up to 10 Steps.
Note: Using [SELECT] will not advance you to the additional steps.
19. To set up Steps 5 through 10, enter desired values as for

Steps 1 through 4.
20. To see the previous steps, press A [Prev Steps].
AI Program Options 21. To program a Delay Start Time or set up a Nurse

wand*cvn
Callback for this program, press A [Program Options].
Delay Start for DO0 hr:min
22. Enter a value using the keypad.
You can choose Drug Name, Callback, or Delay Start as

previously shown.
23. Press A [Enter]to accept the changes.


A 1 PUMPING ( STOPPED 1 B
PRESSING [START].
%Pl
2.0 ,“,a:;, 0.0 24. Press [START] to begin the delivery. The Main Delivery
0.5 “2:” 0.0 Screen displays Step-l in the upper-left corner.
m,
‘_
mr Dose
Note: In units other than mL/hr, the Dose rate and units also will
be displayed.
A 1 PUMPING 1 STOPPED 1 B Example of Multistep Screen Pumeing on Step-3.

8-3
25. To change a program parameter while pumping, press A
2.5 mzehr 0.0
37.5 v”,:“’ 0.0
i-A%
250 Dose
-1
Note: The **” in a Step number field indicates the step is delivering
AI Program ME2 1 or “d” indicates each completed step.
26. Enter a value usi.ng the keypad.

Note: The Concentration drug amount or Diluent volume cannot
be changed while a delivery is in progress.
AI Program Multistep
If Dose value is changed, the Duration and Rate will
WMd*mve automatically change.
cone 50.0 mg 5X mL
Note: Only the current delivering step and future steps can be
changed.


PRESSING [START].
27. Press [START] to begin infusion with the changed

program and return to the Main Deljvery Screen.
‘.
Note: The Values are now updated on the Main Delivery Screen.
The pump reverts to KVO when last Step completes.

The last step can be restarted by entering a new VTBI
value.

SECTION 6 Alarms and Troubleshooting
6.1 Warning Messages
I turn off while a delivery is in progress.

Lockout Enabled Pressinganykeywhfledelfverfng PlaceLockoutswitchfndfsabledposftfon[see
(exceptSTOP)whenLockoutswftch sectfon4.4RearCaseControls),thenreturnto
is enabled. enabled position.
Battery Service The battery capacity is greater Replace battery.
Warnf ng than 200 mAjw.
The battery voltage is less than
the depleted threshold and
charge level is higher than the
low charge threshold.
Warning: Charger The charging circuitry is not Silence key is pressed.
Service behaving as expected (charge
voltage is not changing) and
can reduce battery life.
Warning: Low Pump not plugged in to AC Plug into ACpower, only about 15
Battery power. minutes of battery life remains.
Note: Other error and warning messages will occur when appropriate for the current
selection context. For instance, when a change to a required parameter would result in
clearing some delivery settings, the warning message will appear when that field is
selected. When an input error has just been made, the three quick beeps of an Invalid Key
Warning will sound and an appropriate warning messa e will be shown to explain the
problem. All such messages will be cleared or replaced %y another message upon the next
valid input key press.
6- 1 430-95226-001 (Rev. 5/01)

Alarms and Troubleshooting
6.2 Response to Alarms

1. Disable Lockout by confinning back switch is in the down position.
2. Press [SILENCE] key.
3. Identify/Observe Alarm condition.
4. Correct Alarm condition (see chart below).
5. Press [START] to resume infusion.
Note: Alarm messages begin with an alphanumeric code for tracking purposes only. If
troubleshooting does not correct the problem, record the code number and contact
technical support.
GENERAL ALARMS
El 00 Unrecognized Attempting to use unrecognized Turn off or insert recognfzed

cassette cassette cassette.
El01 No Action Alarm Pump programming Press [STAwrl or continue
incomplete. programming.
El 02 Infuser Idle 2 Pump is ON without operator Beginprogramming or turn pump
Mf nutes input. OFF.
El 03 Memory Failure The pump did not accept the Reenter all programmed data.
previous programmed data.
E230 Prox Air, When the total proximal air Check for clamps, or empty
Backprime detected exceeds the limit. containers on lineA or B. Correct
as necessary. Backprime into
line B tubing or syringe
El 80, Distal Occlusion Distal line kinked. Nsfte Check distal tubing, check IV
E181, clotted or positional, pressure site, reset pressure limit.
El86 limit set too low. Note: See Section 8.8 for detailed
instructions for avoiding a bolus
following a distal occlusion.
El87 Neg Distal Pump too high above patient or Lower pump or replace set.
Occlusion defective set.
El 83, Prox Occl At Proximal line obstructed, lineA Examine line A (or B) for kinks or
El 85 startup (or B) container disconnected or closed clamps. Open and close
obstructed during nondelivery door, then immediately open
(startup). clamp. Continue programming.
Replace set if problem persists.
Note: If clamps are not opened prior to
completion of cassette test, peak proximal
occlusion may recur.
E233, Distal Air When air is detected at the Remove and reprime cassette
E234 distal sensor and exceeds the using standard technique.
limit.
E250 Door open while Pump door opened while Close door with cassette
pumping operating. inserted.

Resnonse to Alarms
Failure distal occlusion or air in set, close door. Backprime into

cassette detected at start up. line B tubing or syringe if
appropffate. If alarm recurs on
retest, replace set. If alarm
repeats, replace pump.
E252 Depleted Battery Too much time on battery Plug into AC power.
power.
E253 Lockout Violation The use of the [STOP) key dur f ng Unlock lockout switch.
&lfvery,oropenfngthedoor,whfle .
lockout is enabled.
E254 Lockout Enabled PressfngofanykeyexceptlSTOP] Unlock lockout switch.
durfngdelfverywhfleanyalarmfs
active and lockout is enabled.
LINE A ALARMS
Callback Line A Alarm programmed by user.

Change in delivery for Loading
Dose to Maintenance Step orfor
any step in ‘Multistep” therapy
provided the step is not the last
SteD.
El61
El 84,
El 90,
El91
a Proximal line obstructed, lineA
Program new VTBI.
Examine line A for kinks or

closed clamps.
E232 Prox Af r A, When proximal af r detected Check for clamps, or empty

Backprime exceeds the limit for the line. container. Correct as necessary.
Backprime into line B tubing or
syringe

Alarms and Troubleshooting
LINE B ALARMS
Alarm programmed by user. Press [SILENCE).

Change in delivery for
piggyback delivery, Loading
Dose to Maintenance Step, or
for any step in ‘Multistep”
therapy provided the step is
not the last step.
El60 Line B VTBI VTBI complete on line B. Program new VTBI.
complete
El 82, Prox &cl B Proximal line obstructed, 1fneB Examine line B for kinks or
El 88, container disconnected or closed clamps.
El89 obstructed. I Note: Occlusion caused by empty
container, backprime into line B tubing
or syringe.
E23 1 h-ox Air B, When proximal air detected Check for clamps, or empty
Backprime exceeds the limit for the line. container. Correct as necessary.
Backprime into line B tubing or
1 syringe.
13a
L
MALFUNCTIONS
malfunction repeats, replace
430-95226-001 (Rev. 5/01) Plum A+ Infusion Pump

SECTION 7 Maintenance and Storage
‘.
7.1 Cleaning, Maintenance, and Storage
The cleaning, maintenance, and storage of the Plum A+ are described in this section.
CLEANING AND SANITIZING

For proper maintenance of the Plum A+, observe the following cleaning and sanitizing guidelines.
Establish a routine weekly schedule for cleaning the Plum A+. To clean the Plum A+, proceed as follows:
Turn the Plum A+ off with the [ON/OFF] switch, then disconnect the Plum A+ from mains power.
The exposed surfaces of the Plum A+ may be cleaned with a lint-free cloth dampened by one of the
recommended cleaning solutions in the following list or mild, nonabrasive soapy water.
Super Edfsonite@ S. M. Edison Co. Per manufacturer’s

recommendation
Vesphene II @ se Calgon Vestal Laboratories Per manufacturer’s
recommendation
Manu-Klenz@ Calgon Vestal Laboratories Per manufacturer’s
recommendation
Formula C TM Dfversey Corporation Per manufacturer’s
recommendation
CoverageTMHBV Sterfs Corporation, A division Per manufacturer’s
of Calgon Vestal Laboratories recommendation
Sporicidfn@ Sporicidin International Per manufacturer’s
recommendation
Household bleach Various Per hospital procedures: do
not exceed one part bleach
in ten parts water
On a routine basis, clean all of the elements behind the cassette door using cotton-tipped swabs saturated
with cleaning solution. The cassette door may be unlatched from the door handle to facilitate cleaning.
To unlatch the cassette door from its handle, tilt the device back, open the cassette door, then push the
door release tab to open the door fully.
7- 1 430-95226-001 (Rev. 5/01)

Maintenance and Storage
CAUTION: To AVOID MECRANICXL OR ELECTRONIC DAMAGE, DO NOT IMMERSE THE PLUM A+ IN ANY
FLUIDS OR CLEANING SOLUTIONS.
CAUTION: CERTAIN CLEANING AND MTIZING SOLUTIONS M AY SLOWLY DEGRADE COM PONENTS MADE
FROM SOME PLASTIC MATERIALS. USING ABRASIVE CLEANERS OR CLEANING SOLUTIONS NOT
RECOMMENDED BY ABBOTT LABORATORIES MAY RESULT IN PRODUCT DAMAGE. Do NOT USE COMPOUNDS
CONTAINING COMBINATIONS OF ISOPROPYL ALCOHOL AND DIMETWL BEti? AMMONIUM CHLORIDE.
CAUTION: N EVER USE SHARP OBJECTS SUCH AS FINGER N A I L S, PAPER CL&S, OR NE EDL ES TO CLEAN
ANY PART OF THE PLUM A+.
CAUTION: Do NOT STERILIZE BY HEAT, STEAM, ETHYLENE OXIDE (M‘O), OR RADIATION.

CAUTION: To AVOID PUMP DAMAGE, CLBANING SOLUTIONS SHOULD ONLY BE USED As DIRECTED. TI3B
DISINFECTING PROPERTIES OF CLEANING SOLUTIONS VARY: CONSULT THE .$4ANUFAcTuRBR FOR SPECIFIC
INFORMATION.
BATTERY MAINTENANCE
CAUTION: Do NOT OPERATE THE PLUM A+ ON PATIENTS WITa THE BATTERY REMOVED. USE OF A
PROPERLY MAINTAINED AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION.
CAUTION: IF THE LOW-BATTERY ALARM SOUNDS. CONNECT TRE PLUM A+ TO b%AINS POWER
IMMEDIATELY.
The Plum A+ is battery powered for emergency backup and temporary portable operation. A fully charged,
new battery provides six hours of operation at 125 ml/hr or 500 ml total volume delivered, whichever
occurs first.
Note: For optimum battery life, the Plum A+ should be operated on battery power for six continuous
hours at least once every six months and then charged for a minimum of six hours.
The battery charges whenever the Plum A+ is connected to mains power. If the Plum A+ is switched off,
recharge takes approximately six hours. Recharge takes longer if the Plum A+ is turned on.
As a general rule, the more often the battery is partially discharged and recharged, the sooner it will need to
be replaced. Consult a qualified biomedical technician for battery replacement if necessary.
To maintain maxImum battery charge and to prolong battery life, connect the Plum A+ to mains power
whenever possible.
STORAGE
To prolong the life of the Plum A+, observe the following storage precautions:
l Store the Plum A+ away from excessive heat, cold, and humidity
l Store the Plum A+ connected to mains power
l Switch the Plum A+ off using the [ON/OFF] key
SERVICE
All servicing or adjustments to the Plum A+ should be referred to qualified technical personnel. A technical
service manual may be ordered from the local Abbott Laboratories sales office.

SECTION 8 Precautions
The Plum A+ has been designed and manufactured to be safe, reliable, and easy to use. This section details
precautions and possible hazards.
For safe operation of the Plum A+, observe the following precautions and hazards.
8.1 Artifacts
Nonhazardous, low-level electrical potentials are commonly observed when fluids are administered using
infusion devices. These potentials are well within accepted safety standards, but may create artifacts on
voltage-sensing equipment such as ECG, EMG. and EEG machines. These artifacts vary at a rate that is
associated with the infusion rate. If the monitoring machine is not operating correctly or has loose or
defective connections to its sensing electrodes, these artifacts may be accentuated so as to simulate actual
physiological signals. To determine if the abnormality in the monitoring equipment is caused by the
infusion device instead of some other source in the environment, set the Infusion device so that it is
temporarily not delivering fluid. Disappearance of the abnormality indicates that it was probably caused by
the electronic noise generated by the infusion device. Proper setup and maintenance of the monitoring
equipment should eliminate the artifact. Refer to the appropriate monitoring equipment system
documentation for setup and maintenance instructions.
The Plum A+ system is designed to operate normally in the presence of most encountered electromagnetic
interference (EMI) conditions. In the event of extreme levels of Interference, such as encountered next to an
electrosurgical generator, it is possible that the normal operation of a sensor or microcomputer might be
disrupted. Even in this event, the outcome would likely be a false alarm or detected system malfunction and
would not result in a hazard to patient or operator.
Use of radio frequency emitting devices such as cellular telephones and a-way radios in close proximity of
E:
this device may affect its operation.
8.2 Healthcare Professionals and Patient Related

In vitro studies have suggested that packed red blood cells with unusually high hematocrit be diluted with
blood-compatible fluids, such as 0.9% sodium chloride injection, to decrease hemolysis and increase flow
rate.
Setting the primary rate greater than the secondary rate will result in a more rapid infusion of any residual
secondary drug remaining in the line and the cassette.
Consult drug labeling to co&ii drug compatibility, concentration, delivery rates, and volumes are all
suitable for secondary, concurrent and piggyback delivery modes.
8- 1 430-95226-001 (Rev. 5101)

Precautions
Connecting more than one pump Into one patient line may significantly affect the infusion rate of at least
one of the pumps.
Arrange tubing, cords, and cables to minimize the risk of patient strangulation or entanglement.
Before opening the door, close clamp on the primary line or remove the sebondary container from the
secondary port to prevent mixing of primary and secondary fluids.
Although unlikely, failure of certain robust mechanical components such as the anti-free flow mechanism
or valve control springs could cause fluid delivery limited to the contents of the fluid container. Single fault
failure of certain electronic/motor control components would result in no more than 5 mL of unexpected
fluid delivery.
A small amount of fluid is expelled from the set (less than 0.05 ml) each time the door is opened or closed
with a set installed. If potent drugs are being used, take appropriate action to guard against
overmedication of the patient.
Before disconnecting a syringe from the cassette, pull up the plunger slightly to avoid spilling the fluid. For
rigid containers (for example, vials), close the upper slide clamp, open the cassette door, then remove and
invert the cassette (ports down).
Air bubbles may form distal to the cassette as result of normal out-gassing of dissolved air in the fluid.
This may occur if chilled solution is in use, if the pump is mounted significantly above the patient, or when
using certain fluids known to routinely outgas. In these cases, an air eliminating filter may be used.
Repeated opening and closing of the door may defeat the proximal air-in-line alarm and’may cause a distal
air-in-line alarm, requiring repriming.
The screen displays the VTBI (volume to be infused) in integers when value is above 99.9. Any fraction of a
milliliter delivered is not displayed, but is retained in memory.
8.3 Concurrent Flow

DELIVERY RATE
When delivering short half-life critical drugs (See Critical Drugs, this section) using the Plum A+ in the
Concurrent mode, the following delivery rate guidelines should be observed:
l If the critical drug (with half-life less than 6 minutes) is to be infused at less than 2.0 mL/hr, the
other infusion should be no faster than 5 times the critical drug’s rate. Dopamine, for example,
delivered at 1.5 mL/br should not be accompanied by an infusion programmed any faster than
7.5 mL/hr.
l If the critical drug (with half-life less than 6 minutes) is to be infused at 2.0 to 5.0 mL/hr the
other infusion should be no faster than ten times the critical drug’s rate. Dopamine, for example,
delivered at 3.5 ml/hr should not be accompanied by an infusion programmed any faster than 35
mL/hr.
l If the critical drug (with half-life less than 6 minutes) is to be infused at 5.1 mL/hr or greater, the
other infusion can be programmed at any desired rate.
Note:The total of the primary rate plus the secondary rate cannot exceed 500 mL/hr.

Epidural Administration
NoteThese guidelines apply only when Infusing short half-1iJe critical drugs in Concurrent mode. Individual
patient responses may vary requiring adjustment of delivery rates.
Delivery Rate Guidelines
Short Half-life (less than 6 minutes) Maximum Rate of Accompanying Infusion
Critical Drug Infusion Rate ‘, - I ‘.
0.5 - 1.9 mL/hr 5 Times the Critical Drug Rate
2.0 - 5.0 mL/hr 10 Times the Critical Drug Rate
5.1 or Greater Any Desired Ratio
CRITICAL D RUGS
Examples of drugs with a short half-life (approximately 6 minutes or less when given IV) Include:
l Dobutamine l Nitroglycerin
l Dopamine l Nitroprusside
l Epinephrine l Norepinephrine
l Esmolol l oxytocin
l Isoproterenol l Procainamide
l Lidocaine l Trimethaphan
For these drugs, the concurrent flow guidelines should be followed when the infusion rate of the drug will be
5 mL/hr or less.
Note: This list of critical drugs is not intended to be all-inclusive of critical drugs or drugs with a short
half-life.
The clinician should become familiar with the pharmacodynamics of any critical drug before
administration.
This information is presented to inform clinicians of a rare situation that could be misinterpreted if they are
unfamiliar with this phenomenon.
E:
8.4 Epidural Administration
Recommended use of the epidural route is to provide anesthesia or analgesia for periods up to 96 hours.
This device can be used to administer only those anesthetics/analgesics approved for epidural
administration (as indicated or allowed by the drugs’ FDA approved labeling). Epidural administration of
drugs other than those Indicated for epidural use could result in serious Injury to the patient.
For epidural administration, the use of Abbott Laboratories catheter, List No. 1193 or List No. 6947, pump
sets without Y-sites, and “epidural” stickers indicating ongoing epidural administration are recommended.
Administration of drugs via the epidural route should be limited to personnel familiar with associated
techniques and patient management problems. Proper epidural placement of the catheter is essential since

Precautions
catheter migration could result in intravascular or intrathecal administration. Facilities practicing epidural
administration must be equipped with resuscitative equipment, oxygen, naloxone, and other resuscitative
drugs. Adequate monitoring equipment (e.g., Orrimetry) is recommended for continuous monitoring of the
patient during epidural administration. Patients must be observed frequently for side effects in a fully-
equipped and staffed environment for at least 24 hours following completion of drug administration by the
epidural route. DELAYED RESPIRATORY DEPRESSION FOLLOWING CONTINUOUS EPIDURAL
ADMINISTRATION OF PRESERVATIVE-FREE MORPHINE SULFATE HAS BEEN REPORTED.
The epidural space has 58 openings through which fluid can exit. Pressure buildup during administration
is transient. However, if a large volume of fluid is administered over a short time period, the pressure will
take longer to return to normal. If overdelivery occurs during administration, observe the patient closely for
signs of spinal cord compression (disorientation, headache, transient neuralgias) and drug overdose.
8.5 Battery Operation

CAUTION: Do NOT OPERATE THE PLUM A+ ON PATIENTS WITEI THE BATTERY REMOVED. USE OF A
PROPERLY MAINTAINED AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION.
The battery may not be fully charged upon receipt. Connect the Plum A+ to AC power for at least six hours.
Use AC power whenever possible. Connect the Plum A+ to AC power during storage to ensure a fully
charged battery for emergencies. If quality earth grounding source is in doubt, use battery power.
If the low-battery alarm sounds, connect the Plum A+ to AC power immediately.
8.6 Sets and Accessories

Only compatible LifeCare Plum Sets can be used with the Plum A+. See individual set instructions for
additional information.
Administration sets should be changed per CDC guidelines or healthcare provider policy. Discard after use.
LifeCare IV Infusion sets with integral nonblood filters are not for use in the administration of blood, blood
products, emulsions, suspensions, or any medications not totally soluble in the solution being
administered. These medications may be administered through the lower Y-injection site, below the filter.
When infusing at low delivery rates (5.0 mL/hr or less) the use of thick-walled microbore Plum sets is
recommended. This will reduce the amount of the fluid bolus that may be delivered when a distal line
occlusion is released.
Use List 11986-48, syringe adapter when using syringes 10 cc or smaller on the secondary line. (Syringes
must be larger than 3 cc.)
Use a 19-gauge or larger needle or catheter at the venipuncture site for viscous fluids if operating at rates
greater than 500 ml/hr.
See Section 10 for information on sets and accessories.

Backpriming
8.7 Backpriming
Backpriming is not recommended for reconstituting secondary containers containing dry powders.
To avoid pressurization when backpriming Into a syringe or a vial, the user must confirm that these
containers have sufficient empty space to accept the backprimed fluid.
8.8 General
Possible explosion hazard exists if used in the presence of flammable anesthetics.
Do not place Plum A+ in service if it fails the self-test.
Do not operate the Plum A+ with the case opened.
Keep the cassette door securely closed while the Plum A+ is not in use, to avoid cassette door damage.
Use the following procedure to avoid the administration of a bolus following a distal occlusion:
If a secondary container is in use. clamp proximal tubing before opening cassette door
Open cassette door and remove the cassette
Open the flow regulator briefly to dissipate the pressure and then close it
Eliminate the source of occlusion
Reinsert the cassette and close the cassette door
Open all clamps and resume infusion
System Operating Manual 8- 5 430-95226-001 (Rev, 5/01)

SECTION 9 Specifications
PHYSICAL
Dimensions: Approximately 8” X 8” X 6”, excluding pole clamp
protrusion and power cord storage.
Weight: Approximately 9.5 Ibs. with battery.
Casing: High-impact plastic
ELECTRICAL
Power Requirements: 120 V-, 50-60 Hz, 35 VA.
Fuses: Fl, F2,25OV-, 0.5 A. (internal)
Power Cord: Hospital-grade AC cord. 10 ft long, with transparent plug
and retainer plate.
Battery: One sealed, lead-acid, rechargeable 6 V battery, internal to
device.
Battery Life: With a new fully charged battery, the infuser shall operate
for a minimum of six hours at 125 mIJhr or less, or deliver
500 mL at 126 mL/hr or greater on one line.
Recharge: The battery charges whenever the Plum A+ is connected to
AC power. The recharge time is approximately six hours
with the device operating at 125 mIJhr on one line.
Electrical Leakage: Risk current limits meet AAMI/ANSI SCL (ungrounded)
12/78 standard.
NURSE-CALL System: NURSE-CALL alarm is factory set for Normally- Open
(NO)
Note: Contact the Technical Services Center to make an
internal adjustment to change the device from Norrnally-
Open (NO) to Normally Closed (NC) system.
Circuitry Ratings: Voltage-30 VDC Max
Current- 0.25 Amps Max
Contact Rating- 3 Watts Max
VTBI RANGE
VTBI Range: 0.1 to 99.9 mL (in 0.1 mL. increments)
100 to 9999 mL (in 1 mL increments)
9- 1 430-95226-001 (Rev. 5101)

Specifications
ENVIRONMENT
Operating Temperature: 5” to 40” C
Storage Temperature: -20” to 60” C
Atmospheric Pressure: 0 - 10,000 feet (0 - 3,000m) or equivalent pressure
Relative Humidity: 10 - 90% (40” C Max)
DELIVERY RATE RANGE

Lines A and B: 0.1 - 99.9 mIJhr (in 0.1 mL increments)
100 - 999 mL/hr (in 1 mL increraents)
Concurrent Delivery: 0.5 Muir minimum for each line
PlumSet: 500 mLfhr cumulative (A+B) maximum
KVO: 1.0 Muir or the last primary delivery rate, whichever is less
AIR-IN-LINE ALARM
PlumSet (Distal): Bolus 0.1 mL or larger
Cumulative 0.26 rnL out of 2.5 mL
PlumSet (Proximal): Bolus at 0.5 mL, Total 1.0 mL
430-95226-001 (Rev. 5/01) 9- 2 Plum A+ Infusion pump

Specifications
OCCLUSION ALARM AND LIMITS

Distal Occlusion: The DISTAL OCCLUSION alamr sounds after the distal set
tubing or set outlet fitting becomes occluded.
Proximal Occlusion: The PROXIMAL OCCLUSION alarm sounds if the tubing
proximal to the cassette becomes occluded.
Distal Pressure Limit 1 to 15 psig. The maximum pressure k user-selectable.
(without alarm): Factory default setting is 6 psig.
Maximum Infusion Pressure: 20 psig
TIME TO DETECT DOWNSTREAM OCCLUSIONS

Rate Occlusion Alarm Typical Time to Alarm Maximum Time to Alarm
Pressure Setting (Macro) (Macro)
25 mIfhr 6 psig 38 seconds 47 seconds
15 psig 98 seconds 106 seconds
ImLJhr 6 psig 17 minutes 22 minutes
15 psig 45 minutes 49 minutes
* Baseline backpressure is 0 psig *
BOLUS VOLUME RELEASED AFTER DOWNSTREAM OCCLUSIONS ARE CORRECTED

Rate Occlusion Alarm Typical Bolus Volume Maximum Bolus Volume
Pressure Setting (Macro) (Macro)
25 mJ.Jhr 6 ~51~ 0.23 mL 0.28 mL
15 PQE 0.55 mL 0.63 mL
lm.Uhr 6 pslg 0.24 mL 0.30 mL
I5 pslg 0.59 mL 0.70 mL
* Baseline backpressure is 0 psig *

DELIVERY ACCURACY
The Plum A+ Infusion pump was designed and manufactured to maintain a volumetric delivery rate error of
the total fluid delivered of less than or equal to 2 5% over the course of 48 hours at a programmed rate of 1 to
999 mL/hr during normal operating conditions. For use of the device at rates below 1 rnL/‘hr, the delivery rate
error is less than or equal to f 10%.
Backpressure Effect- Positive backpressure on the distal line may affect delivery accuracy by no more than
0.5% per psig (2% per psig for rates between 0.1 and 0.9 mL/hr) for backpressures up to 15 psig. A typical
deviation under these conditions is 0.3%. Negative backpressure may affect delivery accuracy no more than
2% for pressures up to -2 psig (56 inches of water). A typical deviation under these conditions is 0.3%.
Filling Head Effect- Variations in filling head (such as container height) majr affect delivery accuracy by no
more than 2% for variations in the range -15 to +28 inches. A typical deviation under these conditions is
0.5%.
Concurrent Delivery Effect- When both lines (A & B) are delivering, the ratio of delivery for the fluid with
the lowest rate may be affected by as much as 5% for ratios up to 9 to 1, For higher ratios, the absolute per-
centage of delivery for the lowest rate may be affected by no more than 0.5%. When air is present in the bub-
ble trap, the absolute percentage of delivery for the lowest rate may be affected by up to 2.0%. When
variations in container height are present, the absolute percentage of delivery for the lowest rate may be
affected by up to 2.5% for up to 24 inches of container height differences.
TRUMPET CURVES
The Trumpet Curve Graphs following the Example show representative maximum and minimum percent
flow rate deviation from the programmed rate over time. This information was developed in accordance with
IEC 60601-2-24: 1998, Sub-Clause 50.102. Refer to this standard for detailed information.
Hog
p& W T wi : The graphs following the
Example plot flow rates at 30 second intervals for the first 2 hours and for the 96th hour of delivery. The
graph plots mean delivery rate error (Average of 3 pumps) for the 2nd hour and the 96th hour as a straight
line. The graph also presents maximum and minimum average delivery rate error for this interval plotted by
averaging delivery errors over intervals of 2, 5, 11, 19 and 3 1 minutes (“Trumpet Curve”).

SECTION IO Supplies and Accessories
IO. 1 Administration Fluids

ADMINISTRATION FLUIDS
l All parenteral fluids
l Whole Blood
l Blood fractions
ENTERAL AND HIGH VISCOSITY FLUIDS

l Dextrose 20% to 50% concentration
l Isomil Powder
l Similac Powder
l Ensure plus HN
l TwoCal HN
l Packed red cells
CONTAINERS
Dual Chamber Parenteral flexible container (Nutrimix)
Large Volume Parenteral flexible plastic containers, including premixed
Large Volume Parenteral glass containers, including premixed and nutritional
Part Fill Parenteral flexible plastic containers, including ADD-Vantage
Part Fill Parenteral glass containers
Small Volume Parenterals
Syringes, vials. includes part fills (may require special adapters)
Top Filled Enteral bags
Ready to hang Enteral solution containers
10.2 Accessories
Syringe Adaptor- List# 11986-48
Vial Adaptor- List# 1188448
Mini Pole- List# 12096-04-91
Secondary Container Support- List# 12095-04-61
Bar Code Reader (Available as a Field-Installed Infuser Option)- List# 11972-04-01
Tandem Carrier- List# 12270-O 1
lo- 1 430-95226-001 (Rev. 5101)

Hospira Plum A Plus 43095226001 Rev05 01 Muen

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System

430-95226-001 (Rev. 5/01)

430-95226-001 (Rev. YOl) iv Plum A+ Infusion Pump

System Operating Manual 430-95226-001 (Rev, 5/01)

A computer data port is also provided to interface with a host computer.

General Floor Laborj3etiverylPost Pattum Burn Unit

l- 1 430-95226-001 (Rev. 5/01)

Convention Application Example ‘.

Italic Reference to a section, figure, or table (See Figure 3- 1, Priming Cassette)

Bold Emphasis . ..sets are supplied Sterile and are for....

WARNINGS. CAUTIONS, AND NOTES

Note: A Note highlights information that helps explain a concept or procedure.

430-95226-001 (Rev. 5/01) l- 2 Plum A+ Infusion Pump

1.3 Definitions (General and Clinical)

System Operating Manual l- 3 430-95226-001 (Rev. 5101)

LINE PROGRAMMIN G OPTIONS

l Delayed Start Setting

l Drug Label Library

l Direct Connection for syringe delivery

2- 1 430-95226-001 (Rev. 5/01)

l Variable Rate Cap

430-95226-001 (Rev. 5/01) 2- 2 Plum A+ Infusion Pump

2.2 User Qualification

2.3 System Self-Tests

Failure during the Self-Tests is reported as a Malfunction Condition.

System Operating Manual 2- 3 430-95226-001 (Rev. 5/01)

Inspect the Plum A+ thoroughly for damage.

CAUTION: IF T= PLUM A+ APPEARS TO BE DAMAGED, CONTACT ABBOTT -ORATORIES.

3- 1 430-95226-001 (Rev. 5/01)

TANDEM CARRIER INSTRUCTIONS

Make sure tandem carrier clamp is attached firmly to pole.

Make sure pumps are firmly attached to tandem carrier.

3.2 Administration Sets

PREPARING THE ADMINISTRATION SET

Note: For detailed instructions, see administration set packaging.

Make sure flow regulator is closed. E

Insert piercing pin into container outlet with a twisting motion.

Fill drip chamber to about l/2 full or to score mark. Do not

System Operating Manual 3- 3 430-95226-001 (Rev. 5101)

PRIMING THE ADMINISTRATION SET

To prime the administration set, proceed as follows:

1 Invert the cassette.

Turn the flow regulator counter-clockwise until a drop of fluid is

Turn the cassette upright, then prime the remainder of the

Push in the flow regulator to close. Confirm there is no flow.

430-95226-001 (Rev. 5/01) 3- 4 Plum A+ Infusion Pump

LOADING THE CASSETTE

System Operating Manual 3- 5 430-95226-001 (Rev. 5101)

PREPARING THE SECONDARY LINE

Before preparing the secondary line, observe the following guidelines: ’

Open all proximal clamps before pressing [START].

Set up pump per operating instructions. (See Se&ions 4 and 5 of

430-95226-001 (Rev. 5/01) 3- 6 Plum A+ Infusion Pump

System Operating Manual 3- 7 430-95226-001 (Rev. 5/01)

3.3 DISCONTINUING ELECTRONIC FLOW CONTROL &

@ SET GRAVITY RATE BY

NOTE: IF DOOR OPEN ALARM OCCURS, TURN PUMP OFF

3.4 DISCONTINUING FLUID ADMINISTRATION

DISCARD SET AND FLUID

430-95226-001 (Rev. 5/01) 3- 8 Plum A+ Infusion Pump

Line A Flow Indicator tine B Flow Indicator

Status Region ____) Status Region

Working Region _I_) + LCD